Provider Demographics
NPI:1477940245
Name:TAOLIACUPUNCTURE
Entity Type:Organization
Organization Name:TAOLIACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIAQI
Authorized Official - Middle Name:
Authorized Official - Last Name:TAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-953-4149
Mailing Address - Street 1:5808 COPPELIA DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2584
Mailing Address - Country:US
Mailing Address - Phone:301-820-2898
Mailing Address - Fax:
Practice Address - Street 1:2401 RESEARCH BLVD. SUITE 380
Practice Address - Street 2:
Practice Address - City:ROCKVILL
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-820-2898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02186171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty